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Showing all 10 practice questions with expert explanatory rationales.

Question 1 of 10

Your 87 year old client has a history of heart disease and fibromyalgia. This client has an internal pacemaker and is also a diabetic client. During your annual visit with this client, the client tells you that they would like to begin some alternative and homeopathic health care practices. What should you include in your teaching plan for this client?

A. Information about the lack of scientific evidence regarding the effectiveness of all herbs.
B. Data to support the fact that magnets can be effective in terms of fibromyalgia pain, and as such, may be a good choice for this client.
C. Research that suggests that prayer is an effective alternative method to relieve pain and stress that can be helpful to this client.
D. Information that contraindicates the use of biofeedback because this alternative, complementary health practice can interfere with the client's pacemaker functioning.

Expert Explanatory Rationale

Correct Answer: Research that suggests that prayer is an effective alternative method to relieve pain and stress that can be helpful to this client.

Question 2 of 10

A client is diagnosed with genital herpes, (herpes simplex virus type 2, or HSV-2). The nurse should instruct the client that:

A. Using occlusive ointments may decrease the pain from the lesions.
B. Reducing stressful life events may decrease the incidence of herpetic outbreaks.
C. There are no effective drug therapies to manage herpes symptoms.
D. Herpes is transmitted to partners only when lesions are weeping.

Expert Explanatory Rationale

Correct Answer: Reducing stressful life events may decrease the incidence of herpetic outbreaks.

Question 3 of 10

The lack of necessary supplies and equipment to adequately and safely care for patients is an example of a (n):

A. Sentinel event.
B. System variance.
C. Adverse effect.
D. Provider variance.

Expert Explanatory Rationale

Correct Answer: System variance.

Question 4 of 10

A client with a history of depression is prescribed trazodone (Desyrel). The nurse should instruct the client to take the medication:

A. In the morning to avoid sedation.
B. At bedtime to promote sleep.
C. With meals to enhance absorption.
D. As needed for low mood.

Expert Explanatory Rationale

Correct Answer: At bedtime to promote sleep.

Question 5 of 10

A newborn diagnosed with respiratory distress syndrome (RDS) is prescribed surfactant replacement therapy. The nurse evaluates the infant 1 hour after the therapy and determines that the infant's condition has improved somewhat. Which finding indicates improvement?

A. An audible respiratory grunt
B. Slight increase in the respiratory rate
C. Arterial blood pH increases to ≥ 7.35
D. Fine inspiratory crackles heard over both lungs

Expert Explanatory Rationale

Correct Answer: Arterial blood pH increases to ≥ 7.35

Question 6 of 10

A client with a history of type 2 diabetes mellitus is prescribed glipizide (Glucotrol). The nurse should instruct the client to report which of the following side effects immediately?

A. Mild nausea.
B. Hypoglycemia.
C. Weight gain.
D. Fatigue.

Expert Explanatory Rationale

Correct Answer: Hypoglycemia.

Question 7 of 10

A client with a history of heart failure is prescribed carvedilol (Coreg). The nurse should instruct the client to:

A. Monitor blood pressure regularly.
B. Take the medication with meals.
C. Avoid potassium-rich foods.
D. Stop the medication if dizziness occurs.

Expert Explanatory Rationale

Correct Answer: Monitor blood pressure regularly.

Question 8 of 10

The nurse should instruct the parents of a school-age child with hemophilia to implement which of the following when the child develops bleeding into a joint? Select all that apply.

A. Having the child rest
B. Applying heat to the joint area
C. Beginning factor VIII therapy
D. Starting physical therapy
E. Applying a topical antifibrinolytic

Expert Explanatory Rationale

Correct Answer:

Question 9 of 10

Select the risk factor that is accurately paired with its disorder.

A. Hypernatremia: Hepatic failure
B. Hypocalcemia: Vitamin A deficiency
C. Hypermagnesemia: Cushing's disease
D. Hypomagnesemia: Crohn's disease

Expert Explanatory Rationale

Correct Answer: Hypomagnesemia: Crohn's disease

Question 10 of 10

Which of the following types of restraints is best for the nurse to use for a child in the immediate postoperative period after cleft palate repair?

A. Safety jacket.
B. Elbow restraints.
C. Wrist restraints.
D. Body restraints.

Expert Explanatory Rationale

Correct Answer: Elbow restraints.